William J. Koenig, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

DO21266 Issued in OR

Practice address

2435 NE Cumulus Ave Ste a
McMinnville, OR 97128-8805

Phone

(503) 472-6161

Fax

(503) 434-6290

NPI assigned

Jun 20, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians Medical Center P CGroup PAC ID 6305832890, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physicians Medical Center P C

  • General Practice Physician
  • McMinnville, OR
  • NPI 1326097122
  Medicare reassignment Care Compare group NPD
• Yamhill County

  • Community/Behavioral Health Agency
  • McMinnville, OR
  • NPI 1891821500
  Medicare reassignment NPD
• Yamhill County

  • Community/Behavioral Health Agency
  • McMinnville, OR
  • NPI 1972669539
  NPD
• Physicians Medical Center, P C

  • Clinical Medical Laboratory
  • McMinnville, OR
  • NPI 1821035841
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1770588337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 NE CUMULUS AVE STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288805",
            "telephone_number": "503-472-6161",
            "fax_number": "503-434-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 NE CUMULUS AVE STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288805",
            "telephone_number": "503-472-6161",
            "fax_number": "503-434-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "WILLIAM",
        "middle_name": "J.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "DO21266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158934",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charmaine Marie Kline
• Joann Kobel
• Robert Charles Koehler
• Dianne K Koenig, PA
• Terri Koenig
• Daphna Rivah Kohn, LAC
• Thomas A Kolodge, DDS, MD
• Jana Konkolewski
• Thomas Konkolewski
• Denise Kathryn Krackenberger, ACNP

• Pediatrics Physician in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.